05D2152740 CLIA NUMBER - CLAYDON MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 05D2152740
  • Facility Name: CLAYDON MEDICAL GROUP
  • Facility Address: 150 CALTHERINE LANE SUITE B
    GRASS VALLEY, CA
    ZIP 95945
  • Facility Phone: 530 271-2100
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ELIZABETH CLAYDON
  • NPI Number: 1922529031
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2152740
LAB Type Physician Office
Facility Name CLAYDON MEDICAL GROUP
Street 150 CALTHERINE LANE SUITE B
City GRASS VALLEY
State CA
ZIP 95945
Phone 530 271-2100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/16/2024
Certificate Expiration Date 8/15/2026
Facility Type Physician Office
Lab Director ELIZABETH CLAYDON

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This page was last updated on: 9/29/2025